Medical Billing and Insurance Claims Specialist

Key Responsibilities Outbound Calling: ○ Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details. ○ Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations. ○ Maintain professionalism and ensure clear communication during each call. Data Categorization and Labeling: ○ Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client. ○ Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis. ○ Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency. Call Transcript Analysis: ○ Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns. ○ Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows. Qualifications Minimum of 6 months of experience in medical billing, insurance claims, or a related field.Strong English proficiency, both verbal and written.Familiarity with healthcare regulations and industry guidelines.Excellent communication skills with the ability to make outbound calls to insurance companies and payors. Detail-oriented and able to maintain accurate records.Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus. Skills: insurance,payors,regulations,software,data categorization,insurance claims,call transcript analysis,healthcare,categorization,data,medical billing,communication skills,communication,healthcare regulations,microsoft office suite